MS. TERESA ANN DOWLING FNP-BC, PMHNP
NPI 1205169273
Nurse Practitioner - Family in Fort Calhoun, NE

Active since September 09, 2009PECOS EnrolledAccepts Medicare Assignment
4972 COUNTY ROAD 38, FORT CALHOUN, NE 68023(402) 641-8822 Get Directions Write a Review

NPPES record last updated: February 6, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Feb 6, 2023, Mar 19, 2019 (2 updates tracked since 2019).

About Ms. Teresa Ann Dowling Fnp-bc, Pmhnp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MS. TERESA ANN DOWLING FNP-BC, PMHNP (NPI 1205169273) is an individual family provider in Fort Calhoun, Nebraska, licensed in Iowa (A123175) and active in the NPI registry since September 2009. She is enrolled in Medicare PECOS, maintains a secondary practice location in Omaha, and is a graduate of Other (2009).

NPPES Registry Identity

NPI1205169273
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameMS. TERESA ANN DOWLINGCredential: FNP-BC, PMHNP
Location Address4972 COUNTY ROAD 38Fort Calhoun, NE 68023-5054
Mailing Address4972 County Road 38Fort Calhoun, NE 68023-5054 · (402) 641-8822
Sole ProprietorYes
Medical School CMSOtherGraduated 2009
Enumeration DateSeptember 9, 2009
Last NPPES UpdateFebruary 6, 20232 updates tracked since enumeration
NPPES CertifiedFebruary 6, 2023
NPI 1205169273 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
Licenses Licensed in IA · A123175 Licensed in NE · 114254
Also ListedNurse Practitioner · Psychiatric/Mental HealthTaxonomy 363LP0808X · License G123175 (IA)
4972 COUNTY ROAD 38, Fort Calhoun, NE 68023

Other Names 1

Other Name (5)Teresa Roth-dowling

Secondary Practice Location 1

Location 11941 S 42nd St Ste 402DOmaha, NE 68105-2944 · Phone (402) 788-4846

Other Identifiers 1

Medicaid10027821400NE

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Ms. Teresa Ann Dowling Fnp-bc, Pmhnp is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2365580339
PECOS Enrollment IDI20230306001101
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
73 services23 patients
Psychotherapy with evaluation and management visit, 30 minutes 90833
Psychotherapy with evaluation and management is a 30-minute session where a mental health professional talks with you about your concerns and feelings. They assess your mental health, provide support, and manage your treatment plan to help improve your well-being.
66 services21 patients

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 68023 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$81.20 typical visit price
range $52.69 – $160.21
Typical copayment $20.30 (range $13.17 – $40.05)
Most-billed visit code 99203
Established Patient
$93.55 typical visit price
range $16.90 – $131.25
Typical copayment $23.38 (range $4.22 – $32.81)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
4 suppliers11 claims22 services$4.22 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center
4972 COUNTY ROAD 38
FORT CALHOUN, NE 68023

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Teresa Dowling's NPI number?

The NPI number for Teresa Dowling is 1205169273. It was assigned to this individual provider in the NPPES registry on September 9, 2009. The provider is also known as Teresa Roth-Dowling.

Where is Teresa Dowling located?

Teresa Dowling practices at 4972 County Road 38, Fort Calhoun, NE 68023. The listed phone number is (402) 641-8822.

What is Teresa Dowling's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Teresa Dowling enrolled in Medicare?

Yes. Teresa Dowling is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does Teresa Dowling accept?

Health plans from Ambetter Health, Ambetter Health of Delaware, Ambetter from Home State Health, Ambetter from Sunflower Health Plan and Blue Cross and Blue Shield of Nebraska and 3 other insurers list Teresa Dowling as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Teresa Dowling was last updated on February 6, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.